| Kids Dental Place | |
|
1000 E Palmer Ave Glendale CA 91205-3532 | |
| (818) 244-5052 | |
| Not Available |
| Full Name | Kids Dental Place |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 E Palmer Ave, Glendale, California |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Place 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (818) 244-5052 | Kids Dental Place 1000 E Palmer Ave Glendale CA 91205-3532 Ph: (818) 244-5052 |
| NPI Number | 1891973533 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891973533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51044 (California) | Primary |
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